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General NPI Number Information
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NPI Number | 1174276430
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Entity Type | Individual
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Provider Name | CRISTINA IRAIS GONZALEZ RIVERA PHARMD
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Gender | Female
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Dates
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Enumeration Date | 01/27/2022
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Last Update Date | 01/27/2022
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Provider Practice Location Address
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Address Line | CARR. 402 KM 1.8 BO. MARIAS, ZONA INDUSTRIAL
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City | ANASCO
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State | PR
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Zip | 00610
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Country | US
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Telephone | 787-229-1515
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Fax | 787-229-1516
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Provider Business Mailing Address
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Address Line | URB SAN CARLOS A9 CIRCULO SAN JOSE
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City | AGUADILLA
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State | PR
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Zip | 00603
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Country | US
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Telephone | 787-505-9479
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 007010
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License Number State | PR
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